腹腔镜结直肠癌根治术与开腹手术远期疗效对比

目的：对比结直肠癌分别行腹腔镜结直肠癌根治术与开腹手术所取得的远期疗效。方法选择金湖县人民医院及江苏省人民医院收治的结直肠癌116例，随机分为观察组与对照组，每组58例。对照组以开腹结直肠癌根治术治疗，观察组以腹腔镜结直肠癌根治术治疗，对比两组患者的临床资料及其远期效果。结果观察组患者的手术时间及住院时间均短于对照组（均 P ＜0．05），术中出血量明显少于对照组（P ＜0．05）；观察组术后并发症发生率为6．9％，对照组为29．3％，两组间差异明显（P ＜0．05）。观察组术后1、3与5年生存率分别为94．8％、86．2％、77．6％，对照组为72．4％、65．5％、55．1％，两组间差异显著（均 P ＜0．05）。结论腹腔镜结直肠癌根治术与开腹手术相比较，手术时间较短，术中出血量较少，可缩短住院时间，在治疗过程中所出现的术后并发症较少，且术后的生存率较高，在临床上可优先选择腹腔镜结直肠癌根治术。

Comparison of the long-term outcomes of laparoscopic surgery versus open surgery for colorectal cancer

Objective To compare the long-term outcomes of laparoscopic surgery versus open surgery for colorectal cancer.Methods 116 cases with colorectal cancer after curative resection in Jinhu People＇s Hospital and Jiangsu Province Hospital were divided into two equal number groups randomly：58 cases of laparoscopic surgery （observation group）and 58 cases of open surgery （control group）.The clinical data and long-term out-comes of two groups were compared.Results The data of operation time and hospital stay were shorter in ob-servation group than those in control group （P 〈0.05）.Intra-operative blood loss was significantly less in ob-servation group than that in control group （P〈0.05）.The operation complications rate was 6.9% in observa-tion group and 29.3% in control group with significant difference （P 〈0.05）.The 1-year,3-year and 5-year survival rate in observation group were 94.8%,86.2%,77.6%,which were 72.4%,65.5%,55.1% in control group,there was significant difference between the two groups（P ＆lt;0.05）.Conclusions Both laparo-scopic surgery and open surgery for colorectal cancer are able to get a certain therapeutic effect,but the thera-peutic effect of laparoscopic surgery is better than that of open surgery for colorectal cancer.Compared with open surgery,the laparoscopic surgery has shorter operation time,less intra-operative blood loss,shorter length of hospitalization,fewer operation complications and higher postoperative survival rate.It is worthwhile to recom-mead and choose laparoscopic surgery for patients with colorectal cancer.